Hand-assisted laparoscopic splenectomy - Preliminary experience in Southern Taiwan

Wei Feng Lee, Shih Chung Wu, Chee Chien Yong, Chao Long Chen, Chih Chi Wang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

4 Scopus citations

Abstract

Background: A hand-assisted laparoscopic procedure allows the surgeon to insert the nondominant hand into the abdomen, and helps to recover the tactile sensation. For a massively enlarged spleen, this technique overcomes difficulty in conventional laparoscopic splenectomy. The advantages of minimally-invasive surgery can still be preserved. We describe our preliminary experience in hand-assisted laparoscopic splenectomy. Methods: The data of 5 patients who presented with splenomegaly and underwent hand-assisted laparoscopic splenectomy between April 2000 and January 2004 were reviewed retrospectively for analysis. Results: The mean age was 45.4 ± 6.6 years, and the hospital stay was 6.6 ± 1.0 days. The splenic length and weight averaged 20.6 ± 5.9 cm and 1084.2 ± 647.8 g. The operative time and blood loss averaged 218.2 ± 40.2 minutes and 220 ± 166.1 ml. There was no conversion to open splenectomy. No mortality or morbidity was noted in our series. Conclusion: Hand-assisted laparoscopic splenectomy is a safe and feasible procedure, even in our initial experience. It helps in exploration of the surgical field and handling of a fragile spleen, especially in patients with massively enlarged spleens. Although another incision is necessary, the advantages of laparoscopic surgery are still retained.

Original languageEnglish
Pages (from-to)67-72
Number of pages6
JournalChang Gung Medical Journal
Volume33
Issue number1
StatePublished - 01 2010

Keywords

  • Hand-assisted laparoscopic splenectomy
  • Laparoscopic splenectomy
  • Splenomegaly

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